Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.18 / $462.18 / $462.18	Facility		$462.18	$462.18	$462.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.20 / $497.73 / $791.31	Professional		$454.20	$497.73	$791.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,116.18 / $1,888.38 / $8,034.62	Facility		$1,116.18	$1,888.38	$8,034.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.69 / $709.69 / $709.69	Professional		$709.69	$709.69	$709.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $1,103.51	Facility		$583.49	$583.49	$1,103.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $583.49 / $1,082.63	Professional		$425.95	$583.49	$1,082.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $793.73 / $1,096.19 / $1,338.16	Professional		$793.73	$1,096.19	$1,338.16
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.94 / $1,213.94 / $1,213.94	Professional		$1,213.94	$1,213.94	$1,213.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $492.66 / $703.81 / $739.00	Professional		$492.66	$703.81	$739.00
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $388.22 / $465.86 / $817.99	Professional		$388.22	$465.86	$817.99